2017年上半年天津外科主治医师(小儿外科学)考试试卷.pdf
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1、2017 年上半年天津外科主治医师小儿外科学考试试卷一、单项选择题共25 题,每题 2 分,每题的备选项中,只有1 个事最符合题意1、肝破裂合并开放性气胸的处理原则首先是A剖腹探查止血B输血C应用抗生素D补液E处理气胸2、结肠癌最早出现的症状为A腹部胀痛B腹部肿块C肠道梗阻D排便习惯与粪便性状改变E贫血、消瘦、乏力等全身症状3、可能诊断为A胃穿孔B小肠破裂C左肾破裂D肝破裂E后腹膜血肿4、脾脏循环血量约占心输出量的A1%2%B10%15%C4%5%D15%20%E8%10%5、关于肝外胆道的解剖特点,以下哪项是错误的A胆囊管常有变异BOddi 括约肌由胰胆管部括约肌构成C胆囊分底、体、颈三部D
2、多数胆总管下段与主胰管汇合E胆囊动脉为终末动脉6、胆总管下段位于胰头的A前方B后方C外侧D内侧E实质内7、手术时发现腹壁下动脉在疝囊颈外侧,应诊断为_ A股疝B腹股沟直疝C腹股沟斜疝D脐疝E白线疝8、以下外科感染常见的致病菌中,引起特异性感染的是A大肠埃希菌B拟杆菌C变形杆菌D绿脓杆菌E白色念珠菌9、关于气腹并发症哪一项是不正确的A二氧化碳气腹可使心率增快,出现心律紊乱B气腹可引起下肢静脉血栓形成C术后可出现肩背部酸痛D皮下气肿主要是腹腔内气压过高引起E气体栓塞主要是气腹针刺入腹膜后血管内,血流内气体逐渐积聚成气泡形成气栓10、以下哪种药物不会引起急性胰腺炎A氢氧化铝B氢氯噻嗪C硫唑嘌呤D酒精
3、E促肾上腺皮质激素11、对疑有胆结石致梗阻性黄疸较深者,应用哪种检查A口服胆囊造影B静脉胆道造影CERCP DPTC E十二指肠造影12、给予病人三苯氧胺口服,属于何种治疗A放疗B化疗C免疫治疗D基因治疗E内分泌治疗13、诊断应考虑为A肝囊肿破裂B肝破裂C肝血管瘤破裂D肝癌破裂E肝包膜下破裂14、女性,38 岁,双侧甲状腺次全切除术后第一天,诉口周、指尖麻木,此刻考虑A低氯血症文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T
4、10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 Z
5、H5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5
6、R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档
7、编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4
8、V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7
9、V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL1
10、0T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8B低钾血症C高钾血症D高钙血症E低钙血症15、女性,48 岁,腹痛伴呕吐 10小时,吐后痛不减轻,查体:体温38,上腹部压痛,白细胞15 乘以十的九次方/L,血淀粉酶 560 索氏单位,尿淀粉酶256索氏单位,诊断为A急性胃炎B急性胆囊炎C急性胰腺炎D溃疡病穿孔E克隆病16、急性梗阻性化脓性胆管炎最常见的病因是A胆总管结石B肿大的胆囊压迫胆总管C胆总管狭窄D肝脓肿并出血,阻塞胆管E胆总
11、管肿瘤并梗阻17、某男,65 岁,糖尿病十余年,半年来项部近发际处,经常出现红肿块,灼热疼痛,出脓后即愈合,触之突起根浅,服用消炎药,无明显效果,常口渴唇燥,舌红苔薄,脉细数。中医诊断A有头疖B无头疖C蝼蛄疖D疖病E粉刺18、不是原发性腹膜炎的感染途径的是_ A腹腔脏器炎症扩散B血行播散C泌尿系直接扩散D透壁性感染E上行性感染19、病人主要的病理生理改变为A心排血量下降B胸腔内压下降C低血容量休克D反常呼吸及血容量不足E以上都不正确20、关于腹腔镜胆囊切除,胆管损伤,哪一项是不正确的A典型损伤是将胆总管误认为胆囊管B在肝右动脉周围进行电切、电凝、别离,可致总胆管损伤C胆管撕裂伤,即可进行单纯修
12、补D胆管电热损伤后多出现胆瘘,可及早发现E肝外胆管解剖变异也是导致肝外胆管损伤的原因文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:C
13、Q4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3
14、D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 H
15、L10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H
16、4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4
17、 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6
18、M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W821、处理方法是A急诊手术B大剂量抗生素C激素治疗D继续观察E甲状腺素治疗22、有关
19、甲亢术后甲状腺危象的说法中,以下哪项是错误的A一般发生在术后1236 小时之内B是甲状腺激素在血液中过多所致C治疗方面,首先应给予镇静剂D作好甲亢术前准备是预防甲亢术后甲状腺危象的最重要措施E术后继续给予碘剂可以减少甲状腺危象的发生23、乳房脓肿切开引流最常用的切口是A“+”字形切口B“+”宇切口C轮辐方向切口D乳房下弧形切口E平行肋骨斜切口24、肝破裂的主要表现是(闭合性)A肝区疼痛B上腹部外伤史C出血性休克D腹膜刺激征E胆道出血25、女性,40 岁,黄疸、纳差2 个月。查体:全身黄染,肝大,胆囊可扪及肿大。化验:血胆红素171mol/L,碱性磷酸酶 30U/l 其他肝功能正常。提示为A胆道
20、蛔虫症B壶腹周围肿瘤C胆总管囊肿D急性病毒性肝炎E先天性溶血性黄疸二、多项选择题共25 题,每题 2 分,每题的备选项中,有2 个或 2 个以上符合题意,至少有 1 个错项。错选,此题不得分;少选,所选的每个选项得0.5 分1、治疗粘连性单纯性肠梗阻,最主要的措施是A抗生素B解痉药C胃肠减压,纠正水、电解质、酸碱失衡D行肠切除手术E急症手术2、牙齿邻面磨耗可以代偿A牙生理性近中移动B牙生理性远中移动C牙舌向移动D牙垂直向移动文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档
21、编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4
22、V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7
23、V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL1
24、0T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T
25、10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 ZH5F6M5R4W8文档编码:CQ4V9W3D7V1 HL10T7H4T10M4 Z
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